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Head-to-head · Cost-Efficiency Index

OnlyRx vs Bayan Health

Two GLP-1 programs on the bench, scored on the same six factors. Here's how their real cost of ownership compares — and which one we'd start with.

Better valueGrade C · #170

OnlyRx

Shoppers who want a 50-state marketplace with multiple pharmacy options and named prescribers.

Visit OnlyRx
VS
Grade C · #174

Bayan Health

Cost-first shoppers who want a flat all-dose price across several routes and can commit to a two- or three-month protocol.

Visit Bayan Health

The verdict

Too close to callGrade C vs C

OnlyRx and Bayan Health tie on the Cost-Efficiency Index at 64/100, so neither wins outright on the numbers. For most shoppers we'd start with OnlyRx (ranked #170, a hair above #174) — Shoppers who want a 50-state marketplace with multiple pharmacy options and named prescribers. But Bayan Health is a genuine coin-flip alternative here.

Worth knowing either way: our overall #1 pick is CoreAge Rx (Cost-Efficiency Index 94/100 — the top of the ranking). See how it stacks up: CoreAge Rx vs OnlyRx.

Factor by factor

Both providers scored on our six Cost-Efficiency Index factors. The stronger side on each row is marked in teal.

Normalized Cost/Month

68
78

Price Transparency

78
94

Nationwide Access

24
24

Formulation Options

90
82

Clinical Oversight

72
68

Contract Flexibility

55
21

Pricing, coverage & formulary

The disclosed facts behind the scores. Lower price wins its row (teal).

SpecOnlyRxBayan Health
Cost-Efficiency Index64/10064/100
Semaglutide / mo$179/mo (starting dose, compounded)$129.00/month billed monthly (standard injectable with vitamin B6; three months of medication ship at once)
Tirzepatide / mo$249/mo (starting dose, compounded)$149.00/month billed monthly (standard injectable with vitamin B6; same three-month protocol)
Semaglutide / yr (modeled)$2,148$1,548
Tirzepatide / yr (modeled)$2,988$1,788
CoverageCoverage not publishedCoverage not published
Oral / sublingualYesYes
Brand-name accessYesCompounded only
Rank here#170#174

OnlyRx

64/100

Where the value is

  • Serves all 50 states per its own claim, wider than most compounded-GLP-1 competitors
  • Two named prescribers with published NPI numbers (Dr. Ana Lisa Carr, Dr. Kelly Tenbrink), plus two supporting providers
  • Sources medication from four named, recognizable 503A-style pharmacy partners rather than one undisclosed source

The tradeoffs

  • The $179 headline price is explicitly labeled a 'Summer Promo' on the site's own homepage — no post-promo price is published
  • No dose-tier (mg) breakdown is published for any of the four price points
Visit OnlyRx

Full OnlyRx review →

Bayan Health

64/100

Where the value is

  • Among the lowest published flat rates for either molecule, with the medication, the physician consultation and expedited shipping inside the figure
  • "Same Flat Price. No Matter the Dose." is stated on the product pages, so the cost does not climb as a provider titrates
  • Sells six GLP-1 routes at published prices — standard and low-dose injections, oral drops for both molecules — plus orforglipron tablets at $269 a month

The tradeoffs

  • Medication ships two or three months at a time and the terms say the payment obligation covers the entire protocol dispensed, so a monthly figure is not a monthly commitment
  • Opting out requires 15 days' notice before the next protocol cycle, while the FAQ says you can cancel at any time
Visit Bayan Health

Full Bayan Health review →

Assume any provider we list may compensate us — we may earn a commission, at no cost to you. It never changes the Cost-Efficiency Index. Pricing, states and verification reflect each provider's public disclosures at last review; prices change — confirm on the provider's site. Not medical advice. See our disclosure.

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